Women of Power Organization, Inc.

Membership Application

Name:

Last, First MI  Title

Address:

City:

State:

Zip:

Email Address:

Phone:

Birthday:

Church Name:

(None) Charter Membership - 1st year ($75,00) Charter Membership Renewal - $50.00 General Membership - 1st year ($50.00) General Membership Renewal - $25.00

Membership Type:

Choose your preferred correspondence media:

U. S. Postal Mail

Email

Please check the signature box and enter your name below to indicate that you are joining this organization on your own free will.  Please Note. If this box is not checked upon receipt of your application your membership process will be delayed.

I,

am requesting membership in the Women of Power Organization willingly.   I believe in this organization and I want to be a part of it.  I have read the  information on the benefits of being a member and the dues have been stated clearly.  I accept this and I indicate this by checking the signature box below.

Signature

Send membership fees to: WOP - Membership 468-D Northdale Road Lawrenceville, GA  30045 (Please make checks/money orders payable to  Women of Power) Or Pay Membership fees online  (Click Here)

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